Canevello, Joseph S.

Canevello, Joseph S. is an individual health care provider with primary practice located at 610 Crystal Point Dr Ste 3 , Crystal Lake IL 60014-1400. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Canevello, Joseph S. can be contacted via phone (815) 477-2270.

Contact Information

Primary practice address
610 Crystal Point Dr Ste 3 Crystal Lake IL 60014-1400
Phone: (815) 477-2270
Fax: (815) 477-2287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1831105469
LBN Legal business name Canevello, Joseph S.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831105469 NPPES
Illinois Other 0025640569 BLUE CROSS/SHIELD #

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